NPIMap

Organization Active NPI

Community Counseling & Mediation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1093074825
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
16697 Issued in NY
Legal business name
COMMUNITY COUNSELING & MEDIATION
Practice address
367 E 7TH St
Brooklyn, NY 11218-4105
Phone
(718) 717-9211
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Donovan Antonio Leigh, CASAC
Title
Counselor/Consultant
Phone
(718) 230-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 16697 NY Primary

Addresses

Primary practice location

367 E 7TH St
Brooklyn, NY 11218-4105

Mailing address

367 E 7TH St
Brooklyn, NY 11218-4105
Phone (718) 717-9211

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling Media5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1093074825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 E 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184105",
            "telephone_number": "718-717-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 E 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184105",
            "telephone_number": "718-717-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING & MEDIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "LEIGH",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "COUNSELOR/CONSULTANT",
        "authorized_official_telephone_number": "718-230-5100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "16697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.